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Detecting Oral Cancer: A Guide For Health Care Professionals

30,000 new cases diagnosed yearly 8,000 deaths each year 5 year survival rate: 50%. Head and neck exam should be a routine part of dental and medical check-ups. Take a history of alcohol and tobacco use. Follow up on suspicious signs.

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Giacomo Setti
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20 views31 pages

Detecting Oral Cancer: A Guide For Health Care Professionals

30,000 new cases diagnosed yearly 8,000 deaths each year 5 year survival rate: 50%. Head and neck exam should be a routine part of dental and medical check-ups. Take a history of alcohol and tobacco use. Follow up on suspicious signs.

Uploaded by

Giacomo Setti
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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A guide for health care professionals

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES NATIONAL INSTITUTES OF HEALTH National Institute of Dental and Craniofacial Research

Detecting Oral Cancer

Incidence and Survival of Oral or Pharyngeal Cancer

30,000 new cases diagnosed yearly 8,000 deaths each year

5 year survival rate: 50%

Early Detection Saves Lives

5-year survival for localized disease is 76%


5-year survival for metastatic disease is 19%

Early Detection is Often Possible

Tissue changes in the mouth that may signal cancer can often be seen and felt easily

Warning Signs

Leukoplakia
Erythroplakia

Other Possible Warning Signs


Lump or thickening of oral soft tissue Soreness or lump in throat
Difficulty chewing or swallowing Ear pain Difficulty moving jaw or tongue Hoarseness

Numbness of tongue or mouth


Swelling of the jaw
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Risk Factors

Tobacco use
Alcohol use Exposure to sunlight Age Gender

Race

Examination Overview

Head and neck exam should be a routine part of dental and medical check-ups. Take a history of alcohol and tobacco use. Follow up on suspicious signs.

Tools and Time

Proper lighting Dental mouth mirror

Gauze squares
Gloves 5 minutes

Extraoral Examination

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Perioral and Intraoral Soft Tissue Examination: Lips

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Perioral and Intraoral Soft Tissue Examination: Labial Mucosa

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Perioral and Intraoral Soft Tissue Examination: Labial Mucosa

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Perioral and Intraoral Soft Tissue Examination: Buccal Mucosa

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Perioral and Intraoral Soft Tissue Examination: Buccal Mucosa

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Perioral and Intraoral Soft Tissue Examination: Gingiva

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Perioral and Intraoral Soft Tissue Examination: Dorsum of the Tongue

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Perioral and Intraoral Soft Tissue Examination: Left Margin of the Tongue

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Perioral and Intraoral Soft Tissue Examination: Right Margin of the Tongue

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Perioral and Intraoral Soft Tissue Examination: Ventral Surface of the Tongue

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Perioral and Intraoral Soft Tissue Examination: Floor of the Mouth

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Perioral and Intraoral Soft Tissue Examination: Hard Palate

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Perioral and Intraoral Soft Tissue Examination: Oropharynx

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Perioral and Intraoral Soft Tissue Examination

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Oral Lesions Suspicious for Oral Cancer


Homogenous leukoplakia
Leukoplakia with early squamous cell carcinoma

Nodular leukoplakia with severe epithelial dysplasia


Erythroleukoplakia with candida infection

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Homogenous Leukoplakia

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Leukoplakia with early squamous cell carcinoma

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Nodular leukoplakia with severe epithelial dysplasia

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Erythroleukoplakia with candida infection

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In Appreciation

Slides for this program were graciously provided by Joseph Konzelman, D.D.S. and Jens Jorgen Pindborg, Dr. Odont.

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Detecting Oral Cancer: A Guide for Health Care Professionals was developed by the National Institute of Dental and Craniofacial Research, one of the federal National Institutes of Health. The program is not copyrighted and may be reproduced. For additional information about oral cancer, contact: National Institute of Dental and Craniofacial Research National Oral Health Information Clearinghouse 1 NOHIC Way Bethesda, MD 20892-3500 [email protected] www.nidcr.nih.gov
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